Effects of body weight on the clinical and radiological outcomes of children with flexible flatfeet managed with the 'calcaneo-stop' procedure. Issue 3 (May 2019)

• Record Type: Journal Article
• Authors: Pavone, Vito; Vescio, Andrea; Canavese, Federico; Costa, Danilo; Sessa, Giuseppe; Testa, Gianluca
• Is Part Of: Journal of pediatric orthopedics. Volume 28:Issue 3(2019)
• Publication Date: 2019-05
• Subjects: body mass index -- body weight -- calcaneo-stop procedure -- outcome -- symptomatic flexible flatfeet; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000590
• Languages: English
• ISSNs: 1060-152X

Abstract

Abstract : This study aimed to evaluate the clinical and radiological outcomes of normal, overweight, and obese children with symptomatic flexible flatfeet managed with the 'calcaneo-stop' procedure (CSP), and to determine whether any correlation exists between patient weight and outcome. One hundred and seventy-four symptomatic flexible flatfeet were managed with CSP during the study period. The patients were divided into three groups according to their BMI and weight Z -scores: normal, overweight, and obese. Their clinical and radiographic outcomes were assessed preoperatively, and at 1 and 5 years after the index procedure. Although the radiographic criteria were comparable between the three groups, the clinical outcome was worse in obese children than in normal and overweight patients ( P <0.05). BMI and the Z -score affected the outcomes of obese patients treated with CSP for symptomatic flexible flatfeet. Although the radiographic outcome was similar irrespective of BMI and Z -scores, obese patients had significantly lower clinical scores than the other patients.